11 results match your criteria: "University of Massachusetts Chan School of Medicine - Baystate[Affiliation]"

Background: Precision medicine utilizes individual patient data to guide decision making. Sex and gender medicine is likewise focused on individual patients' biological sex or sociocultural gender as determinants of disease. How these two fields intersect with one another and with acute care medicine is unclear.

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Article Synopsis
  • Telehealth utilization surged during the COVID-19 pandemic, but its future is uncertain without permanent coverage and adequate reimbursement, which are crucial for its long-term viability and acceptance.
  • Telehealth enhances sleep health management by improving patient access, clinician efficiency, and safety, while addressing healthcare equity, making it particularly suitable for the field of sleep medicine.
  • The American Academy of Sleep Medicine advocates for telehealth as a vital component of high-quality care for sleep disorders and urges collaboration among stakeholders to strengthen its availability and accessibility.
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Unlabelled: This multisociety commentary critically examines the Agency for Healthcare Research and Quality (AHRQ) final report and systematic review on long-term health outcomes in obstructive sleep apnea. The AHRQ report was commissioned by the Centers for Medicare & Medicaid Services and particularly focused on the long-term patient-centered outcomes of continuous positive airway pressure, the variability of sleep-disordered breathing metrics, and the validity of these metrics as surrogate outcomes. This commentary raises concerns regarding the AHRQ report conclusions and their potential implications for policy decisions.

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For decades, chemotherapy has been the mainstay of breast cancer treatment. Novel therapies are expanding the therapeutic options and altering the treatment algorithms to manage this disease. The use and approval of immune checkpoint inhibitors (ICIs) and antibody-drug conjugates (ADCs) represent a few areas of progress.

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Sleep-related motor disorders.

Handb Clin Neurol

August 2023

Department of Neurology, University of Massachusetts Chan School of Medicine-Baystate, Springfield, MA, United States; Institute for Healthcare Delivery and Population Science, University of Massachusetts Chan School of Medicine-Baystate, Springfield, MA, United States. Electronic address:

Article Synopsis
  • Sleep-related motor disorders encompass various conditions during sleep, including NREM and REM sleep parasomnias such as REM sleep behavior disorder (RBD), isolated motor phenomena, and periodic limb movement disorder.
  • Restless legs syndrome (RLS) occurs while awake but is linked to sleep and follows a circadian rhythm.
  • The chapter discusses the role of the pontine sublaterodorsal tegmental nucleus in coordinating motor control with sleep states and details the clinical aspects, epidemiology, differential diagnosis, and treatment options for these disorders.
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Fifteen Patients Who Can Be Helped by Medicare: Insurance Policy Changes in the Coverage of CPAP Therapy for Obstructive Sleep Apnea.

Neurol Clin Pract

February 2023

Department of Neurology-Baystate Medical Center (KGJ), University of Massachusetts Chan School of Medicine-Baystate, Springfield; Department of Healthcare Delivery and Population Science (KGJ), University of Massachusetts Chan School of Medicine-Baystate, Springfield; and Department of Medicine (MR), Veterans Affairs Medical Center, Martinsburg, WV.

Insurance coverage policies define the diagnostic criteria and adherence requirements for patients to qualify for initial and ongoing therapy with continuous positive airway pressure (CPAP) treatment, the most complete therapy for obstructive sleep apnea. Unfortunately, a number of patients who use CPAP and benefit from treatment fail to meet these requirements. We present 15 patients who fail to meet Centers for Medicare and Medicaid Services' (CMS) criteria, highlighting policies that do not support patient care.

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Post hypoxic myoclonus (PHM) is considered a poor prognostic sign and may influence decisions regarding withdrawal of treatment. PHM is generally categorized in literature as either acute or chronic (also commonly referred to as Lance-Adams Syndrome) based on the onset of myoclonus. However, it may be more accurate to differentiate between the various presentations of PHM based on the clinical characteristics and electroencephalogram (EEG) findings for prognostication.

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Germline Genetic Testing in Breast Cancer: Systemic Therapy Implications.

Curr Oncol Rep

December 2022

Division of Oncology, University of North Carolina at Chapel Hill, 170 Manning Dr, Chapel Hill, NC, 27514, USA.

Purpose Of Review: In this article, we discuss recent advances in germline genetic testing for patients with breast cancer and highlight current limitations and impacts on clinical care. We also provide an update on the therapeutic implications of having a germline mutation, including targeted systemic therapy options for treating early and metastatic breast cancer.

Recent Findings: Approximately 5 to 10% of women diagnosed with breast cancer have a pathogenic variant in a hereditary cancer susceptibility gene, which has significant implications for managing these patients.

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